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Lifestyle and rehabilitation during the COVID-19 pandemic: guidance for health professionals and support for exercise and rehabilitation programs
Expert Review of Anti-infective Therapy ( IF 5.7 ) Pub Date : 2021-04-28 , DOI: 10.1080/14787210.2021.1917994
Cássia Da Luz Goulart 1 , Rebeca Nunes Silva 1 , Murilo Rezende Oliveira 1 , Solange Guizilini 2 , Isadora Salvador Rocco 2 , Vanessa Marques Ferreira Mendez 2 , José Carlos Bonjorno 3 , Flavia Rossi Caruso 1 , Ross Arena 4, 5 , Audrey Borghi-Silva 1, 5
Affiliation  

ABSTRACT

Introduction: The coronavirus disease-2019 (COVID-19) is a highly contagious respiratory viral disease for both the general population and healthcare professionals caring for infected patients. Of particular concern is the potential for significant respiratory, cardiovascular, physical, and psychological dysfunctions.

Areas covered: In this context, the current review will focus on the following areas: 1) staying physically active during the COVID-19 pandemic; 2) highlighting the importance of understanding COVID-19 mechanisms; 3) preventing infections for healthcare workers by using personal protective equipment; 4) highlighting importance of respiratory care and physical therapy during hospitalization in patients with COVID-19; and 5) facilitating referral to a rehabilitation program in patients recovering from COVID-19.

Expert opinion: We recommend daily physical exercise, outdoors or at home, as physical exercise increases the synthesis of anti-inflammatory cytokines; Patients with COVID-19 may develop severe acute respiratory syndrome, hypoxemia, diffuse alveolar damage, ACE2 reduction in the cardiovascular system and muscle weakness acquired through a prolonged hospital stay; The role of the physiotherapist in the hospital environment is of fundamental importance-early mobilization is highly recommended in severe cases of COVID-19.



中文翻译:

COVID-19 大流行期间的生活方式和康复:对卫生专业人员的指导以及对运动和康复计划的支持

摘要

简介:2019 年冠状病毒病 (COVID-19) 是一种高度传染性的呼吸道病毒性疾病,适用于普通人群和照顾感染患者的医疗保健专业人员。特别值得关注的是可能出现严重的呼吸、心血管、身体和心理功能障碍。

涵盖的领域:在这种情况下,当前的审查将侧重于以下领域:1) 在 COVID-19 大流行期间保持身体活动;2) 强调了解 COVID-19 机制的重要性;3) 使用个人防护用品防止医护人员感染;4) 强调 COVID-19 患者住院期间呼吸护理和物理治疗的重要性;5) 促进从 COVID-19 中康复的患者转介到康复计划。

专家意见:我们建议每天在户外或家里进行体育锻炼,因为体育锻炼会增加抗炎细胞因子的合成;COVID-19 患者可能会出现严重的急性呼吸系统综合症、低氧血症、弥漫性肺泡损伤、心血管系统 ACE2 减少以及因长期住院而获得的肌肉无力;物理治疗师在医院环境中的作用至关重要——强烈建议在 COVID-19 重症病例中尽早活动。

更新日期:2021-04-28
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